Mouen A Khashab1, Shyam Varadarajulu. 1. Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21205, USA. mkhasha1@jhmi.edu
Abstract
PURPOSE OF REVIEW: Endoscopic ultrasonography (EUS) has taken on more of a therapeutic role in recent years. This review will focus on the therapeutic applications of EUS. RECENT FINDINGS: Multiple studies on the therapeutic applications of EUS have been published. EUS facilitates endoscopic drainage of pancreatic fluid collections (PFCs) including walled-off pancreatic necrosis, management of refractory gastrointestinal bleeding from gastric varix or vasculature by fine-needle injection and decompression of obstructive pancreatic or biliary ductal systems following failed access by standard endoscopic or radiological techniques. SUMMARY: The indications and role of therapeutic EUS have expanded rapidly in recent years. The procedures can be technically challenging, requiring expertise in both endosonography and endoscopic retrograde cholangiopancreatography. Refinement in echoendoscope design and dedicated accessories are required to further expand the applications of therapeutic EUS.
PURPOSE OF REVIEW: Endoscopic ultrasonography (EUS) has taken on more of a therapeutic role in recent years. This review will focus on the therapeutic applications of EUS. RECENT FINDINGS: Multiple studies on the therapeutic applications of EUS have been published. EUS facilitates endoscopic drainage of pancreatic fluid collections (PFCs) including walled-off pancreatic necrosis, management of refractory gastrointestinal bleeding from gastric varix or vasculature by fine-needle injection and decompression of obstructive pancreatic or biliary ductal systems following failed access by standard endoscopic or radiological techniques. SUMMARY: The indications and role of therapeutic EUS have expanded rapidly in recent years. The procedures can be technically challenging, requiring expertise in both endosonography and endoscopic retrograde cholangiopancreatography. Refinement in echoendoscope design and dedicated accessories are required to further expand the applications of therapeutic EUS.
Authors: Mouen A Khashab; Ali Kord Valeshabad; Elham Afghani; Vikesh K Singh; Vivek Kumbhari; Ahmed Messallam; Payal Saxena; Mohamad El Zein; Anne Marie Lennon; Marcia Irene Canto; Anthony N Kalloo Journal: Dig Dis Sci Date: 2014-08-01 Impact factor: 3.199
Authors: Mouen A Khashab; Ahmed A Messallam; Irene Penas; Yousuke Nakai; Rani J Modayil; Carlos De la Serna; Kazuo Hara; Mohamad El Zein; Stavros N Stavropoulos; Manuel Perez-Miranda; Vivek Kumbhari; Saowanee Ngamruengphong; Vinay K Dhir; Do Hyun Park Journal: Endosc Int Open Date: 2016-01-15
Authors: Mouen A Khashab; Schalk Van der Merwe; Rastislav Kunda; Mohamad H El Zein; Anthony Y Teoh; Fernando P Marson; Carlo Fabbri; Ilaria Tarantino; Shyam Varadarajulu; Rani J Modayil; Stavros N Stavropoulos; Irene Peñas; Saowanee Ngamruengphong; Vivek Kumbhari; Joseph Romagnuolo; Raj Shah; Anthony N Kalloo; Manuel Perez-Miranda; Everson L Artifon Journal: Endosc Int Open Date: 2016-03-30
Authors: Mateusz Jagielski; Marian Smoczyński; Jacek Szeliga; Krystian Adrych; Marek Jackowski Journal: J Clin Med Date: 2020-01-01 Impact factor: 4.241